Individual provider Active NPI

Rosanna M Krenz, MED, MA

  • Mental Health Counselor
  • Salem, OR
National Provider Identifier
1023215274
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
225 Madrona Ave SE
Salem, OR 97302-4609
Phone
(503) 689-7011
Fax
(503) 588-9990
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

225 Madrona Ave SE
Salem, OR 97302-4609

Mailing address

5748 Sunstone St SE
Salem, OR 97306-3505
Phone (503) 585-4710

Other names 1

  • Rosanna M Krenz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240625004502 OR Practitioner - Mental Health Counselor 5092259515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Psychiatric Associates, P.C. Mental Health CurrentSince May 12, 2024 Accepting new patients
Salem Psychiatric Associates PC Mental Health CurrentSince May 12, 2024 Accepting new patients

Locations

821 Saginaw St S
Salem, OR 97302
Phone (503) 362-1999

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1023215274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5748 SUNSTONE ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973063505",
            "telephone_number": "503-585-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MADRONA AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024609",
            "telephone_number": "503-689-7011",
            "fax_number": "503-588-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENZ",
        "first_name": "ROSANNA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MED, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSANNA",
            "last_name": "KRENZ",
            "middle_name": "M",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.